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Sagittal T2

Pre- and post contrast sagittal and axial MRI of the cervical spine has been performed.

The finding of note is that of a vividly-enhancing T2 hyperintense lobulated intradural extramedullary tumour centred in the left side of the spinal canal at the C5/6 vertebral level, with enhancement extending along the exiting left C6 nerve root. The tumour severely compresses and displaces the spinal cord into the right side of the spinal canal at this level, with no overt cord signal abnormality demonstrated.

The remainder of the study is unremarkable, apart from age-related intervertebral degenerative changes in the mid to lower cervical spine and relatively prominent haemangiomata in the C5 and C7 vertebral bodies, with normal craniocervical junction and remaining cervical spinal cord..

MICROSCOPIC DESCRIPTION: Paraffin sections show a moderately hypercellular meningioma. The tumour cells form whorls, fascicles and sheets of bland meningothelial cells embedded in dense paucicellular collagenous stroma. There is mild nuclear pleomorphism. Only one mitotic figure is identified in the whole tumour field. There is no necrosis.